| NPI | 1477678696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 12618) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 12618) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-02-19 |